Providence Medford Medical Center

LBN: Providence Health & Services Oregon
Providence Medford Medical Center is an health care organization with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. The organization recently has only one registered license in Hospital Units / Rehabilitation Unit, which is considered as the primary health care specialty. Providence Health & Services Oregon can be contacted via phone (503) 215-4323, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
1111 Crater Lake Ave Medford OR 97504-6241
Phone: (503) 215-4323
Fax: (503) 215-0297
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation Unit 273Y00000X

Profile Details

NPI number 1508949884
LBN Legal business name Providence Health & Services Oregon
DBA Doing business as Providence Medford Medical Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Feb 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508949884 NPPES
Oregon Other 0000ZGBJC PART B MEDICARE PTAN
Oregon MEDICAID 286211 PART B MEDICARE PTAN

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